Key result
Anxiety disorders are relatively common in older adults, frequently present with physical and psychiatric comorbidities, and are challenging to treat due to small effect sizes and incomplete responses.
Anxiety disorders are common in older adults and present treatment challenges due to small effect sizes and incomplete responses, highlighting the need for age-specific research.
Requires cautious management of anxiety in older adults with comorbidities; leaves open need for age-specific trials to enhance response rates.
PURPOSE OF REVIEW: This review highlights the key recent issues and novel findings on anxiety disorders in older adults. Studies of the epidemiology, medical and psychiatric comorbidity, neurobiology, and treatment of anxiety in the elderly are discussed. RECENT FINDINGS: Overall prevalence studies of anxiety symptoms or disorders in older adults indicate that, although less common than in younger adults, they are relatively common in late life. We examine the prevalence of specific anxiety disorders in the elderly, as mechanisms, outcomes, and treatment response may vary by type of anxiety disorder. Physical and psychiatric comorbidity are common. Certain anxiety disorders, such as generalized anxiety disorder, have demonstrated a positive impact following acute coronary syndrome. Regarding treatment, small effect sizes and incomplete response are typical, posing a challenge when treating this age group. SUMMARY: The epidemiology, neurobiology, and treatment of anxiety conditions in late life have recently received more attention in the medical literature. Areas in need of further investigation include neurobiology, clinical presentation, management, and treatment, as we do not know whether procedures indicated for younger cohorts hold for older adults.
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Blay et al. (2012) conducted a review in Anxiety disorders. Anxiety disorders was evaluated. Anxiety disorders are relatively common in older adults, frequently present with physical and psychiatric comorbidities, and are challenging to treat due to small effect sizes and incomplete responses.
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